Promoting patients' knowledge for disease management and self care and utilization of health services

2.50
Hdl Handle:
http://hdl.handle.net/10755/155230
Type:
Presentation
Title:
Promoting patients' knowledge for disease management and self care and utilization of health services
Abstract:
Promoting patients' knowledge for disease management and self care and utilization of health services
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Kerzman, Hana, RN, PhD
P.I. Institution Name:The Chaim Sheba Medical Center
Title:Research Unit, Nursing Division
Co-Authors:Orly Toren, RN, PhD and Orna Baron Epel, PhD
[Research Presentation] Introduction: One of the main challenges of the health care system today is to raise patient's knowledge prior to hospital discharge to prepare him for better self care in the community. Lack of knowledge may lead to increased utilization of health care services in the long term. Purpose: To evaluate a new structured intervention plan prior to hospital discharge and the use of health care services and subjective health perception: a three year follow-up among cardiovascular patients. Methodology: A prospective intervention study, a week, month and two years follow-up of cardiovascular patients discharged from internal medicine wards. Patients in control group received counseling generally delivered, patients in intervention group received individual counseling with a structured program focusing on self care and disease management, delivered by specially trained nurses). Data was collected via telephone interviews regarding community services, and subjective health perception. Information regarding emergency services and re-hospitalizations were collected from data bases. Findings: 143 patients (71 control, 72 intervention) participated in the study. Patients receiving individual counseling perceived their health better than patients in the control group in the short term (p< .002) and long term (p< .1). Visit rates to the ER were four times lower in the intervention group (2.2%) than in the control group (7.8%) (p. < .007). áNo differences were found between the two groups regarding utilization of health services in the community. Survival analyses indicated that the time from discharge to the first ER visit was shorter in the control group. Conclusion: Based on the fact that there is no stated policy for initiated medical follow-up visits in the community, using directed knowledge about self care patients tend to use variety of health services. This trend may indicate greater awareness for physical condition and self care.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePromoting patients' knowledge for disease management and self care and utilization of health servicesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155230-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Promoting patients' knowledge for disease management and self care and utilization of health services</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Kerzman, Hana, RN, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">The Chaim Sheba Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Research Unit, Nursing Division</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">hanakert@sheba.health.gov.il</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Orly Toren, RN, PhD and Orna Baron Epel, PhD</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] Introduction: One of the main challenges of the health care system today is to raise patient's knowledge prior to hospital discharge to prepare him for better self care in the community. Lack of knowledge may lead to increased utilization of health care services in the long term. Purpose: To evaluate a new structured intervention plan prior to hospital discharge and the use of health care services and subjective health perception: a three year follow-up among cardiovascular patients. Methodology: A prospective intervention study, a week, month and two years follow-up of cardiovascular patients discharged from internal medicine wards. Patients in control group received counseling generally delivered, patients in intervention group received individual counseling with a structured program focusing on self care and disease management, delivered by specially trained nurses). Data was collected via telephone interviews regarding community services, and subjective health perception. Information regarding emergency services and re-hospitalizations were collected from data bases. Findings: 143 patients (71 control, 72 intervention) participated in the study. Patients receiving individual counseling perceived their health better than patients in the control group in the short term (p&lt; .002) and long term (p&lt; .1). Visit rates to the ER were four times lower in the intervention group (2.2%) than in the control group (7.8%) (p. &lt; .007). &aacute;No differences were found between the two groups regarding utilization of health services in the community. Survival analyses indicated that the time from discharge to the first ER visit was shorter in the control group. Conclusion: Based on the fact that there is no stated policy for initiated medical follow-up visits in the community, using directed knowledge about self care patients tend to use variety of health services. This trend may indicate greater awareness for physical condition and self care.</td></tr></table>en_GB
dc.date.available2011-10-26T13:39:18Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T13:39:18Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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